arXiv:2511.00456cs.CVcs.AI2025-11被引 5

用图像标签实现肺炎定位,让AI诊断更透明可信。

Weakly Supervised Pneumonia Localization from Chest X-Rays Using Deep Neural Network and Grad-CAM Explanations

  • 仅用图像级标签训练,通过Grad-CAM生成可解释热图
  • 分类准确率达96%-98%,ResNet-18与EfficientNet-B0表现最佳
  • 适合临床医生验证AI决策,提升对AI筛查的信任

胸部X光常用于肺炎诊断,但精确定位病灶通常需要耗时费力的像素级标注。为解决此问题,本研究提出一种弱监督深度学习框架,结合梯度加权类激活映射(Grad-CAM)实现肺炎分类与定位。该方法仅依赖图像级标签生成具有临床意义的热图,突出肺炎病灶区域。我们在相同训练条件下评估了七种预训练模型,包括视觉变换器(Vision Transformer),采用焦点损失(focal loss)和患者级划分以避免数据泄露。实验结果表明,所有模型分类准确率均达96%至98%,其中ResNet-18与EfficientNet-B0表现最优,MobileNet-V3则提供高效轻量选择。Grad-CAM热图可视化显示模型聚焦于临床相关肺部区域,支持可解释AI在放射学诊断中的应用。整体表明,弱监督可解释模型有望提升AI辅助肺炎筛查的透明度与临床可信度。

原文摘要 · Abstract (English)

Chest X-ray imaging is commonly used to diagnose pneumonia, but accurately localizing the pneumonia-affected regions typically requires detailed pixel-level annotations, which are costly and time consuming to obtain. To address this limitation, this study proposes a weakly supervised deep learning framework for pneumonia classification and localization using Gradient-weighted Class Activation Mapping (Grad-CAM). Instead of relying on costly pixel-level annotations, the proposed method utilizes image-level labels to generate clinically meaningful heatmaps that highlight pneumonia-affected regions. Furthermore, we evaluate seven pre-trained deep learning models, including a Vision Transformer, under identical training conditions, using focal loss and patient-wise splits to prevent data leakage. Experimental results suggest that all models achieved high classification accuracy (96--98\%), with ResNet-18 and EfficientNet-B0 showing the best overall performance and MobileNet-V3 providing an efficient lightweight alternative. Grad-CAM heatmap visualizations confirm that the proposed methods focus on clinically relevant lung regions, supporting the use of explainable AI for radiological diagnostics. Overall, this work highlights the potential of weakly supervised, explainable models that enhance transparency and clinical trust in AI-assisted pneumonia screening.

肺炎定位弱监督可解释AI医学影像

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